Subtrochanteric fracture of femur
ICD-10 S72.2 is a billable code used to indicate a diagnosis of subtrochanteric fracture of femur.
A subtrochanteric fracture of the femur is a type of hip fracture that occurs just below the lesser trochanter, which is a bony prominence on the femur. This fracture is typically classified as an unstable fracture due to the biomechanical forces acting on the femur, especially in the context of falls or high-energy trauma. Patients with subtrochanteric fractures often present with significant pain, inability to bear weight, and deformity of the hip. These fractures are more common in older adults, particularly those with osteoporosis, but can also occur in younger individuals due to high-impact injuries. Treatment usually involves surgical intervention, such as intramedullary nailing or plate fixation, to stabilize the fracture and facilitate healing. Post-operative rehabilitation is crucial for restoring function and mobility. The subtrochanteric region is particularly challenging due to the muscle attachments and the load-bearing nature of the femur, making accurate diagnosis and appropriate management essential for optimal recovery.
Detailed operative notes, imaging reports, and pre-operative assessments are essential for accurate coding.
Surgical repair of subtrochanteric fractures, management of complications such as non-union or malunion.
Ensure that all surgical approaches and fixation methods are clearly documented to support the coding.
Thorough documentation of initial assessment, imaging results, and any immediate interventions performed.
Initial evaluation of patients presenting with hip pain after a fall or trauma.
Accurate coding requires clear documentation of the mechanism of injury and any associated injuries.
Used when performing surgical fixation of a subtrochanteric fracture.
Operative report detailing the procedure, fixation method, and any intraoperative findings.
Orthopedic surgeons should ensure that all surgical details are documented to support the coding.
A subtrochanteric fracture occurs just below the lesser trochanter, while a neck of femur fracture occurs at the proximal end of the femur, just below the ball joint. The treatment and implications for mobility can differ significantly.
